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Vitamins and Minerals are essential to health, and most must be supplied by food. Deficiencies are still worldwide killers, either directly or by reducing resistance
to other illnesses. In developed countries, where such a variety of food is available, it is hard to see why anyone should lack nutrients. But surveys show that a substantial
proportion of people are on or under the borderline of safety, mainly because they eat badly balanced diets.
A less active lifestyle means less food is needed, making it more
difficult to obtain all the necessary nutrients, especially if people consume substantial amounts of sugary foods and alcohol, which supply almost no vitamins or minerals.
The few calories eaten, the more important it is that almost every calorie carries with it some vitamins and minerals. Some people have a higher-than-average need for one or
more nutrients.
More of a vitamin is not always better, but we now know that for some vitamins, a higher intake can benefit people vitamins, a higher intake can benefit people
who show no signs of being deficient. For many vitamins, a higher intake can benefit people who show no signs of being deficient. For many vitamins,
we can aim for optimum levels.
THE NUTRIENTS WE NEED Vitamins We Can Store vitamins A, D, E, and B12 can be stored in our bodies for a considerable time. Stores protect us against short-term shortages. For example, plentiful vitamin D, obtained from sunlight on our skin in summer, helps maintain our supply the following winter. But storage also means that body levels can build up and, when eaten in animal foods, even moderately excessive amounts of vitamins A and D produce ill effects. Although the body also produces vitamin A from carotenes in vegetables and fruit, eating these in large amounts does not cause vitamin a excess, nor does an excess of vitamin D result from exposure to sunlight.
In developed countries, shortages of fat-soluble vitamins A,D,E (and K, which is little stored by the body) are mainly due to poor food choice, or for vitamin D, little time spent outdoors. Some people are at risk because they absorb fat poorly, through illness or as a side effect of medication, such as cholesterol-lowering drugs or regular use of laxatives. Some vitamin A and vitamin E in food is lost due to exposure to air in storage, and strong heat during cooking.
Fat-soluble vitamins need not come from high-fat foods: there are good low-fat sources for each one.
Vitamins We Barely Store The B complex vitamins and vitamins C and K are little stored by the body, so daily intake is important, although the body manufacturers much of the vitamin K it needs. Contact with water will wash some of these vitamins out of food - for example, in canning, soaking, or when cooking in lots of water. Food refining, exposure of cut surfaces to air and light, and prolonged heat also cause major losses. This means that they risk of deficiency is highest among people who rely on processed or overcooked food. Poor food choices and some medications are also hazards. In illness or at other times of stress, the body may benefit from higher levels of the vitamins that we barely store. B vitamins have related functions, so if you are taking a supplement, take all the B complex vitamins. To retain the maximum amount of these vitamins in food.
Minerals Some 15 minerals are known to be essential to human health, with a few others still under investigation. The exact amount of minerals we need to eat is even less easy to define that for vitamins because, for most minerals, the amount we absorb varies considerably according to the foods that we eat them in. we absorb some minerals less efficiently from goods high in fiber- especially when they also contain phytic acid. This is not a reason to avoid fiber, just to avoid an excess.
Certain minerals can be harmful even in moderately excessive amounts. For iron, there seems to be quite a narrow "good" body level, which is high enough to avoid the harm done by shortage, but low enough not to risk iron pro-oxidant activity, which may encourage the formation of fee radicals, see Anti oxidants, p.21. A very large amount of one mineral may reduce the amount that the body can absorb of another. Such problems are unlikely if we obtain minerals from food rather than from supplements containing much larger amounts.
VITAMINS
VITAMIN A MAJOR SOURCES
Available as retinol in liver, eel, fortified margarine, kidney, whole milk, and eggs. Cheese, butter, and oily fish also supply a useful amount. Also
produced from carotenes in carrots, broccoli, green leafy vegetables, winter squash, sweet potatoes, red pepper, mango, pumpkin cantaloupe,
and dried apricots.
IMPORTANCE Required for growth and the normal development
of tissues; maintains the health of the skin and surface tissues, especially those with a mucous lining, such as the linings of the bronchial tubes.
These linings are the body's first defense against infection. Vitamin A is also necessary for vision.
EFFECTS OF SHORTAGE Vitamin A deficiency in previously well-nourished people may have no symptoms
for a year or more. Early effects include poorer eyesight in low light. For example at dusk or in moonlight; dry skin; and reduced overall resistance to infection,
especially in the lungs.
VITAMIN B1 (THIAMIN) MAJOR SOURCES Peas, wheat germ,
sunflower seeds, fortified breakfast cereals, liver, yeast and yeast extract, peanuts, mycoprotein, potatoes, pork, fortified white bread, whole-grain bread,
and cereal grains.
IMPORTANCE Essential for many bodily functions, including the release
of energy from carbohydrates, alcohol, and fats, and the health of nerves and muscles. The more carbohydrate or alcohol is consumed, the more vitamin B1 is needed.
EFFECTS OF SHORTAGE Early signs include irritability, failure to concentrate, depression, poor sleep, loss of appetite, and general malaise. Long-term deficiency leads too nerve damage and withering of muscles, mental confusion, and loss of memory. Outright deficiency is common among alcoholics, and prolonged deficiency is fatal.
VITAMIN B2 (RIBOFLAVIN) MAJOR SOURCES Liver, kidney, yogurt, milk (if packaged so that it is not exposed to light), cheese, fortified breakfast cereals, wheat germ, eggs, yeast, yeast extract, crab, mussels, winkles, oily fish, flounder, huss, whiting, mushrooms, almonds, and pumpkin seed.
IMPORTANCE Vitamin B2 is involved in many bodily processes, especially in making energy available from food; growth in children; and the repair and maintenance of body tissues.
EFFECTS OF SHORTAGE Early signs include sore cracks at the corner of the mouth and general malaise. Other symptoms are a form of eczema at the angles of the nose, and on the chin and genitalia, a sore, magenta-colored tongue, and red, itchy eyes, these symptoms are reversible within days and do not disable.
NIACIN (PART OF B COMPLEX) MAJOR SOURCES Many foods are sources of niacin, either directly or via tryptophan, a protein from which the body makes niacin. Richest sources include liver, lean meat, fortified breakfast cereals, oily fish, milk, cheese eggs, peas, mushrooms, fish roe, green leafy vegetables, globe artichokes, asparagus, and potatoes.
IMPORTANCE Niacin comprises nicotinic acid and nicotinamide, which are both needed for the production of energy in cells. Nicotinamide is involved in enzyme processes, including fatty acid metabolism, tissue respiration, and the disposal of toxins. Niacin supplements are being researched for their usefulness in treating schizophrenia.
EFFECTS OF SHORTAGE Deficiency is unlikely if you eat a varied diet, especially as some breakfast cereals are fortified with the vitamin. Symptoms of mild deficiency include a lack of energy, depression, and sometimes-dark red, scaly rash on the skin when it is exposed to the sun. Prolonged severe deficiency, which is very unlikely today, causes outright pellagra and death.
PANTOTHENIC ACID (PART OF B COMPLEX) MAJOR SOURCES Most foods except sugar, fats, and alcohol contain some pantothenic acid, or pantothenate. Rich sources include liver, whole grains, yeast extract, avocados, wheat germ, egg yolk, peanuts, walnuts, dried pears and apricots, dates and mushrooms.
IMPORTANCE Plays a central role in making energy from fats and carbohydrates available for the production of essential substances in the body, including the production of steroid hormones and fatty acids. There is some evidence that pantothenic acid supplements can help rheumatoid arthritis.
EFFECTS OF SHORTAGE Deficiency is rare, but is also hard to recognize, partly because the symptoms are vague and partly because it is usually combined with other vitamin deficiencies. Known signs include numbness and tingling sensations in the feet, headache, irritability and restlessness, dizziness, fatigue, and stomach disturbances.
VITAMIN B6 (PYRIDOXINE) MAJOR SOURCES Wheat germ, bananas, potatoes, turkey, fish, nuts, especially walnuts, sesame seeds, bell peppers, cruciferous vegetables, especially Brussels, sprouts, cauliflower, and watercress, avocados, and fortified breakfast cereals.
IMPORTANCE Required by the body in the making of proteins, to release stored glucose and in the production of niacin from tryptophan. All these bodily processes are necessary for growth, blood formation, and to protect against infection. The more protein that is eaten, the more vitamin B6 required.
EFFECTS OF SHORTAGE In theory, deficiency is rare except in some people taking certain drugs for rheumatism, tuberculosis, or high blood pressure. Symptoms include a sore mouth, depression, irritability, eczema, and sometimes inflammation of a nerve, causing pain or poor function. Supplements of 50mg per day taken for premenstrual syndrome cause side effects in many women.
BIOTIN MAJOR SOURCES Liver, kidney, wheat germ, nuts, oats, egg yolk, cooked dried black-eyed pear or soybeans, snow peas, globe artichokes, mushrooms, and mycoprotein. Biotin is manufactured within the body as well as being obtained from food.
IMPORTANCE Needed to make the energy from food available, for instance, for the synthesis of fats, and for the excretion of protein waste products.
EFFECTS OF SHORTAGE The only people likely to be at risk are those who often each more than 1-2 raw egg whites a day, which prevent the absorption of biotin. Symptoms of deficiency include nervous disturbance and seborrheic dermatitis.
FOLIC ACID MAJOR SOURCES Liver, yeast extract, wheat germ, green leafy vegetables, especially parsley, watercress, spinach, endive, and purple sprouting broccoli, raw beets, fortified breakfast cereals, nuts, especially peanuts, and legumes.
IMPORTANCE Needed for the production of many essential substances in the body. It is important for the role it plays with vitamin B12 in rapidly dividing cells, making genetic material (DNA) for every cell. Also required to maintain immune system function.
EFFECTS OF SHORTAGE Mild deficiency can lead to anemia, mouth sores, a sore tongue, appetite loss, general malaise, and poor growth in children. Severe deficiency can cause mental deterioration. Women with low levels of folic acid at conception have a much higher risk of having a baby with a neural tube defect such as spina bifida. The risk is sharply reduced if women planning a pregnancy take 400-mcg folic acid daily, continuing to 12 weeks, or throughout, pregnancy.
VITAMIN B12 (GYANOCOBALAMIN) MAJOR SOURCES Found in all animal foods, especially liver, and plant foods that contain certain algae, such as seaweed, or bacteria, such as beer, mycoprotein; fortified yeast extract; and fortified breakfast cereals.
IMPORTANCE Needed for the manufacture of genetic material (DNA and RNA), which is in every cell, vitamin B12 is also involved in the formation of red blood cells, the utilization of folic acid, and the maintenance of the protective sheaths around the nerves.
EFFECTS OF SHORTAGE Although only minute amounts of vitamin B12 are needed for health, deficiency can slowly accumulate in people with prolonged low intake or poor absorption. The first effect of shortage is anemia, causing tiredness and loss of resistance to infection. Prolonged deficiency leads to megoblastic anemia leads to megoblastic anemia with irreversible damage to the nervous system.
VITAMIN C (ASCORBIC ACID) MAJOR SOURCES Green leafy vegetables, especially raw, black currents, citrus fruits, strawberries, bell peppers, guava, tomatoes, and potatoes.
IMPORTANCE Essential for the formation and maintenance of connective tissue, wound healing, gum health, and overall health. There is a strong connection between higher intakes of vitamin C and a lower risk of heart disease, stroke, cataracts, and some cancers.
EFFECTS OF SHORTAGE Low levels result in deficiency symptoms within 3-4 weeks, such as increasingly poor recovery from wounds, fatigue, reduced gum health, bleeding from small blood vessels into the gums, joint pain, and poor sleep and mood. Smokers are advised to eat more. Antioxidant experts advise up to 200mg per day, far above most governments' recommended intake.
VITAMIN D (CALCIFEROLS) MAJOR SOURCES Vitamin D is mainly manufactured in the body when the skin is exposed to sunlight, except through glass. Few food sources: oily fish, notably herring, kippers, salmon, sardines, and trout, and in much smaller amounts, fortified margarine, and eggs.
IMPORTANCE Needed for the absorption of calcium from food, and for calcium and phosphorus use. It therefore affects the growth and strength of bones and teeth, together with nerve and muscle health connected with calcium.
EFFECTS OF SHORTAGE In children, there is less bone growth, muscle weakness, anemia, and a tendency to respiratory infections. Long-term shortage results in rickets, where the bones become deformed because they are too weak to bear the child's weight. In adults, shortage softens bones, causing pain, muscle weakness, and a higher risk of fractures.
VITAMIN E MAJOR SOURCES Nuts and seeds, especially sunflower seeds, almonds, hazelnuts, and pine nuts, and wheat germ. Sunflower spreads, sunflower oil, broccoli, green leafy vegetables, sweet potatoes, oats, avocados, and whole-grain cereals also supply a useful amount.
IMPORTANCE Two sorts of vitamin E, tocopherols and tocotrienols, are probably both needed for their antioxidant action, which protects against the harmful by-products of oxidation. The more polyunsaturated fats you eat, the more vitamin E is need to protect them from oxidation.
EFFECTS OF SHORTAGE Convincing evidence shows that people with lower body levels of vitamin E have a higher risk of heart attack, stroke, cataracts, and some cancers, in a few people who cannot absorb or use vitamin E adequately, a progressive neurological disorder can develop that affects the eyes and nervous system, and muscles, and causes anemia.
VITAMIN K MAJOR SOURCES
Green leafy vegetables, notably green cabbage, Brussels sprouts, cauliflower, and spinach, liver, beans, peas, and carrots.
At least half of the daily requirement is not obtained from food but is manufactured in the body.
IMPORTANCE
Essential for the formation of proteins responsible for blood clotting and other functions. Vitamin K may be required for maintaining bone health.
EFFECTS OF SHORTAGE Shortage in adults is unlikely except in people with poor fat absorption,
such as sufferers of Crohn's disease, or people with severe gallstones. Lack of clotting ability causes prolonged bleeding. Newborn babies have little vitamin K,
and the vitamin is often given at birth to guard against hemorrhage.
MINERALS
CALCIUM MAJOR SOURCES Milk, yogurt, hard cheese, tofu, fish eaten along with the bones, such as whitebait, canned sardines, and canned salmon, green leafy vegetables, notably purple sprouting broccoli, watercress, and spinach, okra, almonds, and hard water. Low-fat milk and yogurt have as much calcium as whole.
IMPORTANCE Essential for growth and for maintaining the strength of the bones and teeth. Calcium also controls the conduction of nerve impulses to and from the brain, and the contraction of muscles.
EFFECTS OF SHORTAGE In the short term, there are no obvious signs of deficiency because calcium needs will be met by withdrawing it from the bones. Long-term calcium shortage, up to the age of 35-40, prevents the bones from reaching full density (peak bone mass), which may increase the risk of bone problems in old age.
CHLORIDE MAJOR SOURCES Table salt (sodium chloride) is about 60% chloride.
IMPORTANCE Works with sodium and potassium in regulating the body's delicate fluid balance.
EFFECTS OF SHORTAGE Deficiency is very unlikely, except as a result of heavy and prolonged sweating or vomiting.
CHROMIUM MAJOR SOURCES Meat, whole-grain cereals, legumes, nuts, and seafood.
IMPORTANCE Chromium was only identified as an essential mineral about 30 years ago, and it is still not well understood. It is part of a compound needed to enable the insulin system to work. Chromium may also be involved in fat metabolism and in maintaining the structure of genetic material.
EFFECTS OF SHORTAGE Lack of knowledge about the mineral means deficiency is rarely recognized, but it is known to cause poor glucose tolerance and raised blood cholesterol. In animals, lack of chromium causes an illness very similar to diabetes.
COPPER MAJOR SOURCES Shellfish, liver, wheat germ, curry powder, and whole-grain cereals.
IMPORTANCE Part of many enzymes, copper is required for a wide range of functions: blood and bone formation; production of melanin pigment of skin and hair; and energy release from food. Copper is part of the antioxidant enzyme superoxide dismutase. The use of copper bracelets to relieve rheumatism has attracted interest.
EFFECTS OF SHORTAGE Adult deficiency is rarely recognized, but early features can include defects in heart function and anemia. More research about the effects of deficiency is in progress.
FLUORIDE MAJOR SOURCES Tea, seafood, and seaweed. Drinking water and other foods can supply an important amount of fluoride or almost none according to soil levels where the food or water originates.
IMPORTANCE No essential function has been found, but fluoride is useful in reducing tooth decay. It forms a compound with calcium in the bones and teeth.
EFFECTS OF SHORTAGE Leads to a higher rate of tooth decay, although this depends on eating habits and dental hygiene as well. Even a small excess of fluoride in the body can mottle teeth permanently, so toothpaste should not be swallowed.
IODINE MAJOR SOURCES Seafood, especially shellfish and seaweed, and iodized salt. Levels in land-grown food very widely, according to natural soil level variations. Milk is a source where iodine disinfectants and milk promoters are used in dairies.
IMPORTANCE Needed by the thyroid gland to produce the thyroid hormone, which regulates more than 100 enzyme systems involving the metabolic rate, growth, reproduction, and many more essential functions.
EFFECTS OF SHORTAGE The thyroid gland (at the front of the throat) swells to try to trap more iodine from the bloodstream, forming a goiter. The metabolic rate slows, leading to sluggish physical and mental activity, weight gain, a thick neck, coarsening features, and dry hair. Sever lack manifests as dental deterioration in adults and causes low intelligence in babies.
IRON MAJOR SOURCES Liver, blood sausage, kidney, game, especially pigeon, venison, and partridge, whitebait, mussels, oily fish, especially sardines, dried apricots, prunes, green leafy vegetables, legumes, and tofu.
IMPORTANCE Essential for the formation of red blood cells, and so needed for the circulation because red blood cells carry oxygen around the body. Iron is also part of a number of enzymes, including some that make energy available.
EFFECTS OF SHORTAGE Mild shortage leads to adverse effects on work capacity, intellectual performances, behavior, disease resistance, and body-temperature control. Severe shortage results in overt anemia.
MAGNESIUM MAJOR SOURCES Whole-grain cereals, wheat germ, nuts and seeds, shrimp, winkles, okra, chard, soybeans, tofu, and dried apricots. The absorption of magnesium is reduced when large amounts of calcium, protein, or phosphate are eaten at the same time.
IMPORTANCE Manganese is part of several essential enzymes and triggers the activities of numerous others, including antioxidant and energy-production processes.
EFFECTS OF SHORTAGE There is no recognized deficiency disorder in humans. In animals, lack of manganese leads to abnormal offspring, and poor bone development and growth.
MOLYBDENUM MAJOR SOURCES Kasha, beans, wheat germ, liver, whole-grain cereals, and green leafy vegetables. Levels in food vary, according to the soil level in areas of food production.
IMPORTANCE Part of several enzymes, including mechanisms for excreting uric acid, use of iron, and DNA metabolism.
EFFECTS OF SHORTAGE Shortage is unlikely among people eating a Western-style diet. A low intake may possibly reduce resistance to tooth decay.
PHOSPHOROUS MAJOR SOURCES Present in all protein foods and added to many processed foods, notably carbonated beverages.
IMPORTANCE In combination with calcium, phosphorus helps maintain the strength of the bones and teeth. It is needed by the body to use energy and B vitamins from food. Phosphorus is a constituent of many essential body substances and body control mechanisms.
EFFECTS OF SHORTAGE In adults, deficiency occurs after prolonged, regular overuse of antacids, which prevent the absorption of phosphorus. Required phosphorus is withdrawn from bones, which can become weak and painful.
POTASSIUM MAJOR SOURCES Fruits, notably dried fruits, such as apricots, as well as bananas and citrus fruits; vegetables, especially when raw or cooked without water, notably green leafy vegetables and potatoes; and instant coffee.
IMPORTANCE Complements sodium in regulating the fluid levels in the body. Important to help the body excretes excess sodium, which helps prevent and relieve raised blood pressure.
EFFECTS OF SHORTAGE The body cannot store potassium, and shortage shows up immediately, causing symptoms such as feeling weak, thirsty, confused, and tired. Severe deficiency exacerbates these symptoms and leads to mental confusion and raised blood pressure, a major factor in heart attack and stroke.
SELENIUM MAJOR SOURCES Brazil nuts, whole-grain cereals, sunflower seeds, seafood, seaweed, and meat. Only Brazil nuts, seafood, and seaweed have a reliable level. In other foods, the amount of selenium varies according to the soil level in the area of food production.
IMPORTANCE A vital part of the body's antioxidant defense system, selenium works with vitamin E and can partially replace it. Selenium may help protect against cancer, but the evidence is still inconclusive. Recent research suggests that extra selenium may improve male fertility.
EFFECTS OF SHORTAGE No obvious symptoms, but leads to reduced fertility. Also leads to Keshan congestive heart disease, seen in areas of China where levels of selenium in the soil are low. It is cured by selenium supplements. Lack of selenium is also linked to reduced antioxidant protection.
SODIUM MAJOR SOURCES More than two-thirds of the sodium we eat comes from the salt and sodium preservatives already added to the food we buy, for example, meat products and delicatessen meats, bacon, cheese, bread, baking powder, potato chips, soups, pickles, breakfast cereals, and canned vegetables. Sodium is also obtained from the salt added to cooking, and is naturally present in food and water.
IMPORTANCE Sodium is essential in small amounts for regulating the body's balance of fluid, in conjunction with potassium and chloride.
EFFECTS OF SHORTAGE Deficiency is very unlikely, and almost everyone in industrialized countries has an excessive intake of sodium. This can lead to fluid retention and raised blood pressure. Only being in intense hot weather or sweating copiously will cause deficiency symptoms such as thirst, cramps, or muscle weakness.
ZINC MAJOR SOURCES Oysters and other shellfish, lean meat, pumpkin seeds, milk, hard cheese, yogurt, nuts, sunflower seeds, beans, and whole-wheat bread.
IMPORTANCE Required for the health of the immune system, normal growth, tissue formation, male sexual maturation, and the action of various enzymes. More zinc is needed when new tissue must be formed, for example, when recovering from surgery or burns, or during wound healing.
EFFECTS OF SHORTAGE Leads to loss of appetite, an impaired sense of taste and smell, slow wound healing, poor hair growth, dermatitis, lower resistance to illness, poor growth, and complications during pregnancy.
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( CTR-110505-VIT)
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